| Fred H Ross, M.d. | |
|
1612 W Plaza Dr Tallahassee FL 32308-5324 | |
| (850) 878-8509 | |
| Not Available |
| Full Name | Fred H Ross, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 1612 W Plaza Dr, Tallahassee, Florida |
| Authorized Official Name and Position | Fred Henry Ross (OWNER) |
| Authorized Official Contact | 8508788509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred H Ross, M.d. 1612 W Plaza Dr Tallahassee FL 32308-5324 Ph: (850) 878-8509 | Fred H Ross, M.d. 1612 W Plaza Dr Tallahassee FL 32308-5324 Ph: (850) 878-8509 |
| NPI Number | 1184169112 |
|---|---|
| Provider Enumeration Date | 12/29/2016 |
| Last Update Date | 12/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184169112 | NPI | - | NPPES |
| 20066 | Other | FL | FLORIDA BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME 44955 (Florida) | Primary |
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